ROBERT JACKSON MD
NPI 1831295344
Specialist in Evanston, IL

Q: What is Robert Jackson's NPI number?

The NPI number for Robert Jackson is 1831295344. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Q: What is Robert Jackson's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Robert Jackson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 15, 2006

444 BARTON AVE, EVANSTON, IL 60202(847) 685-0693(847) 685-0775 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Robert Jackson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT JACKSON MD (NPI 1831295344) is an individual specialist in Evanston, Illinois and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1831295344

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameROBERT JACKSONCredential: MD

Location Address444 BARTON AVEEvanston, IL 60202-2760

Mailing AddressPo Box 25432Chicago, IL 60625-0432 · (847) 685-0693 · Fax (847) 685-0775

Phone(847) 685-0693

Fax(847) 685-0775

Sole ProprietorYes

Enumeration DateSeptember 15, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1831295344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

444 BARTON AVE, Evanston, IL 60202

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Other Identifiers 2

Medicare UPINE73111IL

Medicare ID-Type Unspecified365060IL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Jackson's NPI number?

The NPI number for Robert Jackson is 1831295344. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is Robert Jackson located?

Robert Jackson practices at 444 Barton Ave, Evanston, IL 60202. The listed phone number is (847) 685-0693.

What is Robert Jackson's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Robert Jackson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.